TY - JOUR KW - Immunology AU - Ma F AU - Hughes TK AU - Teles RMB AU - Andrade PR AU - de Andrade Silva BJ AU - Plazyo O AU - Tsoi LC AU - Do T AU - Wadsworth MH AU - Oulee A AU - Ochoa MT AU - Sarno EN AU - Luisa Iruela-Arispe M AU - Klechevsky E AU - Bryson B AU - Shalek AK AU - Bloom BR AU - Gudjonsson JE AU - Pellegrini M AU - Modlin RL AB - Granulomas are complex cellular structures composed predominantly of macrophages and lymphocytes that function to contain and kill invading pathogens. Here, we investigated the single-cell phenotypes associated with antimicrobial responses in human leprosy granulomas by applying single-cell and spatial sequencing to leprosy biopsy specimens. We focused on reversal reactions (RRs), a dynamic process whereby some patients with disseminated lepromatous leprosy (L-lep) transition toward self-limiting tuberculoid leprosy (T-lep), mounting effective antimicrobial responses. We identified a set of genes encoding proteins involved in antimicrobial responses that are differentially expressed in RR versus L-lep lesions and regulated by interferon-γ and interleukin-1β. By integrating the spatial coordinates of the key cell types and antimicrobial gene expression in RR and T-lep lesions, we constructed a map revealing the organized architecture of granulomas depicting compositional and functional layers by which macrophages, T cells, keratinocytes and fibroblasts can each contribute to the antimicrobial response. BT - Nature Immunology DO - 10.1038/s41590-021-00956-8 IS - 7 LA - eng N2 - Granulomas are complex cellular structures composed predominantly of macrophages and lymphocytes that function to contain and kill invading pathogens. Here, we investigated the single-cell phenotypes associated with antimicrobial responses in human leprosy granulomas by applying single-cell and spatial sequencing to leprosy biopsy specimens. We focused on reversal reactions (RRs), a dynamic process whereby some patients with disseminated lepromatous leprosy (L-lep) transition toward self-limiting tuberculoid leprosy (T-lep), mounting effective antimicrobial responses. We identified a set of genes encoding proteins involved in antimicrobial responses that are differentially expressed in RR versus L-lep lesions and regulated by interferon-γ and interleukin-1β. By integrating the spatial coordinates of the key cell types and antimicrobial gene expression in RR and T-lep lesions, we constructed a map revealing the organized architecture of granulomas depicting compositional and functional layers by which macrophages, T cells, keratinocytes and fibroblasts can each contribute to the antimicrobial response. PB - Springer Science and Business Media LLC PY - 2021 SP - 839 EP - 850 T2 - Nature Immunology TI - The cellular architecture of the antimicrobial response network in human leprosy granulomas VL - 22 SN - 1529-2908, 1529-2916 ER -